Billing Specialist
Company: Delta Dental
Location: Oakland
Posted on: May 13, 2022
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Job Description:
At Delta Dental, our strategy is only as strong as the people
who execute it! We are hiring individuals that are not just right
for today but also for our future. We have built a foundation of
high-trust by treating all people with dignity, making and keeping
commitments, and consistently striving to do the right thing. Our
leaders optimistically share future possibilities to inspire and
motivate others toward their full potential. We expect our
employees to find ways to embrace positive change, be curious and
challenge the status quo, and provide solutions to unmet problems.
Joining Delta Dental means joining a culture focused on fostering
development, building genuine connections, recognizing each other's
strengths and sharing in successes. The Billing Specialist uses a
broad knowledge of multiple business areas (Enrollment, Accounts
Receivable, Configuration, Onboarding) to track and perform premium
reconciliations for payment received against invoice amount billed.
This position is also responsible for analyzing premium back-up,
resolving outstanding balances, and overall account resolution
while delivering superior, consultative customer service for a wide
variety of clients. This position takes the lead to audit,
determine root cause for issues and deviations requiring manual
intervention, recommends and executes action items to resolve them
directly with the client.How you will make an impact:Ensures
accurate billing for all cycles (weekly, biweekly, monthly billing,
etc.) including creation and processing Statement of Accounts (SOA)
and Stabilization of Claims utilization; Performs comparison
analysis before invoices release to client and resolves identified
discrepancies.Provides guidance to internal and external customers
on various items related to billing and reconciliation, including
configuration, retroactive policy, aging balances, and impacts.
When errors occur, provides feedback and recommendations to
management for resolution.Reviews transaction discrepancies (TRX
Compare/Revenue Analysis) and prepares ACH Debit reports; Performs
quality assurance of reports and analyzes and resolves exceptions
as needed.Analyzes and creates custom reporting and claims
validation for accounts; Works with AR team to determine journal
entry accruals.Performs discovery audits for each group assigned as
a baseline including gathering payment, billing, discrepancy, and
adjustment information and determining based on this history and
pattern any root cause issues that cause the account to require
manual intervention. Develop and execute action plans taking the
lead to move customers to standard processing without manual
intervention Recommend, document and gain approvals for
non-standard processes to be included in contracts.Performs all
manner of reconciliations, reclass and refunds in Oracle and ad-hoc
(manual) as needed; Reviews detailed payment backup analysis for
discrepancies using Bump & Compare/Vlookup.Analyzes group
remittance and provides guidance to AR for accurate payment
application; Prepares documentation for internal and external
stakeholders as needed and reviews dunning letters for propriety
before sending to client. Prepares Escalations, documenting
timelines, actions taken and summarization of issue for Senior
leadership to review. This list is not all-inclusive and you are
expected to perform other duties as requested or assigned. What we
look for:3+ years of experience and High School Diploma.2+ years of
related experience in a billing and reconciliation role
preferred.Positive documented experience with high profile,
sensitive clients required.Strong organizational/time management
skills and multi-tasking abilities.Detail-oriented with strong
analytical and problem-solving skills. Effectively able to adapt to
change and be comfortable handling risk and uncertainty. Ability to
prioritize and manage duties in order to meet goals and deadlines.
Strong customer service skills; customer-focused with ability to
empathize with customer. PC literacy required; MSOffice skills
(Outlook, Word, Excel, PowerPoint).Benefits and perks:12 days
starting vacation, 12 holidays, 9 sick days and your birthday
off!Low-cost premium medical insurance options100% paid dental and
vision insuranceGenerous 401(k) matching and flat
contributionSocial responsibility and volunteer opportunities,
including 16 paid volunteer hours annuallyEmployee LiveWell
program, focusing on overall employee well-beingFertility and
diabetes benefitsEmployee discount program: AT/Verizon,
entertainment, travel, and more!Culture of learning: career
development and tuition reimbursementCareer growth: we love
promoting from withinPlease note, Delta Dental will not sponsor
applicants for work visas for this position.#LI-NP1At Delta Dental
we:Promote accountability, integrity and collaboration: Our
employees are collaborative, self-aware, and ethical. It is our
expectation to do the right thing and follow through on
commitments.Foster professional development: Our employees take
ownership of developing themselves and others through coaching,
mentoring and providing/being open to constructive feedback and
identifying learning opportunities.Value customers and cultivate
positive experiences: Our employees take time to build rapport with
customers, while anticipating and exceeding their needs to ensure
positive outcomes. If you think this sounds like you, let's chat.
We would love to tell you more!To see some of the smiling faces
behind Delta Dental and to learn more about what our values and
culture look like in action, connect with us on social media:
@lifeatddins on Facebook and Instagram, @deltadentalins on Twitter,
and Delta Dental Ins. on LinkedIn. ABOUT Delta DentalDelta Dental
covers more Americans than any other dental benefits provider. Our
vision is to motivate and empower every employee so we're all
inspired to take exceptional care of our customers, providers and
each other. Our Enterprise Strategy focuses on pillars of Growth
and Diversification, supported by the platforms of Culture and
People, Process and Technology. Our employees take pride working
for a purpose-driven organization and live our values of Trust,
Service, Excellence and Innovation. We are part of the Delta Dental
Plans Association, a network of companies that provides dental
coverage to 74 million people in the U.S. Delta Dental of
California, Delta Dental of New York, Inc., Delta Dental of
Pennsylvania and Delta Dental Insurance Company, together with our
affiliate companies, form one of the nation's largest dental
benefits delivery systems, covering 33 million enrollees. All of
our companies are members, or affiliates of members, of the Delta
Dental Plans Association, a network of 39 Delta Dental companies
throughout the country.Delta Dental provides equal employment
opportunities (EEO) to all employees and applicants for employment
without regard to race, color, religion, sex, national origin, age,
disability, genetics, or any other classification protected by
federal or state law. In addition to federal law requirements,
Delta Dental complies with applicable state and local laws
governing nondiscrimination in employment in every location in
which the company has facilities. This policy applies to all terms
and conditions of employment, including recruiting, hiring,
placement, promotion, termination, layoff, recall, transfer, leaves
of absence, compensation and training.Unfortunately, our Delta
Dental Enterprise is unable to hire individuals residing in Alaska,
North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West
Virginia, New Hampshire, Wyoming, Puerto Rico or other US
Territories at this time.Proof of eligibility to work in the United
States must be provided if selected for hire. Delta Dental* has
enacted a COVID-19 vaccination policy to protect all employees and
the communities we serve due to the ongoing impacts of the COVID-19
pandemic. Accordingly, we require all employees to be fully
vaccinated for COVID-19. Are you able to comply with our policy of
being fully vaccinated by your start date if an offer is made or
have a medical or sincerely held religious exemption for receiving
a COVID-19 vaccine? Failure to comply with our policy and submit
proof of compliance or receive approval for a valid medical or
sincerely held religious belief exemption prior to your start date
will nullify any offer of employment extended to you. *Delta Dental
includes: Delta Dental of California, Delta Dental Insurance
Company, Delta Dental of Pennsylvania, and Delta Dental of New
York
Keywords: Delta Dental, Oakland , Billing Specialist, Accounting, Auditing , Oakland, California
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